Rheumatoid Arthritis and Ankylosing Spondylitis Occurring Together- A Case Report

Abstract

We report a case of middle aged man who presented with inflammatory low back pain with restriction of movement and enthesopathy. Later on the developed inflammatory pain affecting small and large joints of upper and lower limbs associated with morning stiffness with deformities. There is also positive family history. So, though the incidence is very rare the coexistence of rheumatoid arthritis and ankylosing spondylitis in this case would be a possibility.

Disease flare of ankylosing spondylitis presenting as reactive arthritis with seropositivity: a case report

“…Some practical difficulties do exist in the differentiation as up to half of patients with AS have peripheral joint involvement during their disease and the spine may be more or less spared [ 6 ]. There are only a few other reported cases where spondyloarthritis has been linked to seropositivity ([ 7 , 8 ] see also Table 1 ). We searched PubMed using the keywords 'ankylosing spondylitis' or 'reactive arthritis' with 'seropositivity' appearing anywhere in the article and repeated the same search (without time limits to the search) in Google Scholar (Table 1 ).…”